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December 9, 2019 by AltiusHospital
What is a prolapse uterus?
The uterus, or womb, is a muscular structure that's held in place by pelvic muscles and ligaments. If these muscles or ligaments stretch or become weak, they're no longer able to support the uterus, causing prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position and into the vagina, or birth canal.
Uterine prolapse may be incomplete or complete. An incomplete prolapse occurs when the uterus is only partly sagging into the vagina. A complete prolapse describes a situation in which the uterus falls so far down that some tissue rests outside of the vagina.
WHAT ARE THE POSSIBLE Risk factors for uterine prolapse?
The risk of having a prolapsed uterus increases as a woman ages and her estrogen levels decrease. Estrogen is the hormone that helps keep the pelvic muscles strong. Damages to pelvic muscles and tissues during pregnancy and childbirth may also lead to prolapse. Women who've had more than one vaginal birth and postmenopausal women are at the highest risk.
Any activity that puts pressure on the pelvic muscles can increase your risk of a uterine prolapse. Other factors that can increase your risk for the condition include:
Confirmed risk factors
Possible risk factors :
What are the Vaginal/general symptoms?
What are the Urinary symptoms?
Is there any Coital difficulty in prolapse?
HOW IS IT GRADED?
Uterine prolapse is graded based on level of descent:
Vaginal prolapse may be 2nd or 3rd degree.
What are the Types of prolapse?
Prolapse can occur in the anterior, middle, or posterior compartment of the pelvis.
What is Anterior compartment prolapsed?
WHAT ARE THE BLADDER TRAINING EXERCISES?
Bladder training, to delay urination after you get the urge to go. You may start by trying to hold off for 10 minutes every time you feel an urge to urinate. The goal is to lengthen the time between trips to the toilet until you're urinating only every two to four hours.
Double voiding, to help you learn to empty your bladder more completely to avoid overflow incontinence. Double voiding means urinating, then waiting a few minutes and trying again.
Scheduled toilet trips, to urinate every two to four hours rather than waiting for the need to go.
Fluid and diet management, to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity also can ease the problem.
What is Middle compartment prolapse?
Uterine prolapse: descent of the uterus into the vagina.
WHAT IS VAGINAL PROLAPSE?
Uterine prolapse is descent of the uterus toward or past the introitus. Vaginal prolapse is descent of the vagina or vaginal cuff after hysterectomy
How is uterine prolapse diagnosed?
Your doctor can diagnose uterine prolapse by evaluating your symptoms and performing a pelvic exam.
Any Conservative methods to treat prolapse?
These measures are particularly helpful for women who:
What are the Conservative measures available?
Watchful waiting. If a women reports little in the way of symptoms this is probably appropriate. Treatment may be needed if symptoms become troublesome or if complications develop.
Lifestyle modification: including treatment of cough, smoking cessation, constipation and overweight and obesity. However, even though the association of prolapse with these lifestyle factors has been demonstrated, the role of lifestyle modification as a prevention or treatment of prolapse is not supported by evidence.
Pelvic floor muscle exercises.
Vaginal oestrogen creams.
Oestrogen creams before surgery may reduce the incidence of postoperative cystitis
When to consider Surgery?
WHAT ARE THE SURGICAL OPTIONS?
Laparoscopic repair of prolapse has less risk of perioperative morbidity than laparotomy.
Using mesh may lower the risk of prolapse recurrence after a vaginal repair, but complications may occur more frequently. Patients should be advised that all mesh may not be removed completely so that they can make an informed decision.
How can I prevent uterine prolapse?
What is kegels exercise?
Kegel exercises, also called pelvic floor exercises, help strengthen the muscles that support the bladder, uterus, and bowels. By strengthening these muscles, you can reduce or prevent leakage problems.
How is it done?
Tighten your pelvic floor muscles, hold the contraction for five seconds, and then relax for five seconds. Try it four or five times in a row. Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.Do it 3-4 times a day.
Laparoscopic sacrocervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation. Laparoscopic surgery gives the added benefit of shorter hospital stay,better cosmesis,lesser postoperative pain,short recovery period .
not necessarily.
2-3 days.
to have a balanced diet
Any form of physical activity say yoga,meditation,walking ,sport to keep urself fit n fine.
Will there be weight gain later?
No surgery does not make you put on weight.might be the restriction of physical inactivity self imposed can lead to weight gain.
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Fax: +91 8023116750
Email: altiushospital@yahoo.com | endoram2006@yahoo.in
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December 5, 2019 by AltiusHospital
Egg donation is one of the techniques of reproductive medicine.Its basic principle consists of retrieving from a woman (called a donor) her reproductive cells or eggs, called oocytes or ova, which are situated in the ovary, in order to donate them to another woman (the patient, called the recipient) to be used in the latter’s parenting project, through in vitro fertilization (IVF) (Fig.1). This donation, regarded by some for as a donation of an organ or blood, is a donation of life, result of the fruit of great feminine solidarity, enabling certain women to allow others to become mothers. This exceptional donation without any doubt gives rise to questions at various levels: practical, genetic and ethical.
WHO IS A CANDIDATE FOR DONOR EGGS?
The Donor Egg Program is designed for patients who cannot conceive from their own eggs. Most commonly, such patients include.
DOES THE EGG RECIPIENT KNOW THE EGG DONOR?
Most commonly not. Most of the patients choose an anonymous donor, someone who is unknown to them. Patients find a suitable egg donor, either from donor pool or from an agency that provides such donors. The identity of the egg donor will never be disclosed to the recipient. Anonymous donors get compensated financially for their time and efforts by the recipient. Some patients may have relatives or friends who are ready to donate eggs for them.
HOW ARE DONORS SCREENED?
Anonymous donors have to be 21-32 years old, physically and psychologically healthy and non-smokers. Candidates fill out a questionnaire, which includes detailed medical history, genetic history, family history, as well as social behavior and general interests. Psychological, emotional, ethical and legal aspects of the donation are discussed. It is of extreme importance to us to make sure that the donor is fully informed and comfortable with the process, and that the donation process will not affect her adversely. Once the donor gives her full, voluntary consent to participate in the process, the following tests then take place:
DO RECIPIENTS GET SCREENED AS WELL?
Yes. Patients will have an initial consultation . At that time all aspects of the egg donation will be discussed. Special issues that will be addressed include the anonymity of the donor, the screening of the donor, and the potential psychological impact that having a child through egg donation might have on the recipient. Since we realize that the decision to conceive through egg donation may be very difficult for the couple, they will be referred for a psychological intake and emotional support to discuss issues such as third-party reproduction, issues of disclosure to the future offspring and parenting at a later age, where appropriate. Patients 45 years or older will need medical clearance from their internist, in addition to pre-conception counseling with a high-risk obstetrician. Both the recipient and her male partner will be screened for infectious diseases. The partner will provide a sperm sample for evaluation and freezing. Arrangements can be made for donor sperm in applicable cases.
HOW DOES THE ACTUAL DONOR CYCLE WORK
Recipient and donor cycles are synchronized with the help of medications. The donor receives fertility injections for 7-13 days to stimulate her ovaries to produce eggs. During that time period, she gets monitored frequently by blood tests and ultrasounds. In the meantime, the recipient’s uterine lining is prepared with estrogen. Once the donor’s eggs seem ready, she receives an HCG injection. One-and-a-half days later, she undergoes an egg retrieval procedure. This procedure is done with the guidance of a vaginal ultrasound machine and under anesthesia (IV sedation). The donor is discharged following observation in the recovery room.
DONOR IS ADVISED TO PRACTICE CONTRACEPTION FOR ANOTHER 3 WK AS THERE MIGHT BE A CHANCE FOR DONOR TO CONCEIVE.
All eggs are isolated, counted and placed safely in the incubator. The recipient starts progesterone treatment. Her husband provides a sperm specimen. The donor’s eggs are then fertilized with the recipient husband’s sperm, and returned to the incubator. Embryo development is recorded in the lab over several days. Finally, on the third or fifth day post retrieval, several embryos are transferred into the recipient’s uterus. The remaining embryos are frozen for future use by the recipient couple.
Planning the Cycle:
An Egg Donor IVF cycle consist of the following protocol:
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November 29, 2019 by AltiusHospital
Contraception (anti-conception medication) avoids pregnancy by meddling with the ordinary procedure of ovulation, treatment, and implantation. There are various types of anti-conception medication that demonstration at various focuses in the process. NO SINGLE METHOD IS APPLICABLE TO ALL.
What are Contraceptive inserts and infusions?
Hormonal contraception for ladies is accessible as inserts and infusions. These strategies, especially the embed, are more viable than prophylactic pills and rings, yet like other preventative techniques, may cause symptoms and don't give assurance from Sexually transmitted diseases.
Inserts
The prophylactic embed . is a hormonal, pole molded gadget that is embedded under the skin at the internal side of the upper arm. .it has a hormone that stops ovulation and makes the liquid at the opening to the uterus (belly) thicker, preventing sperm from overcoming.
The prophylactic embed goes on for a long time, is near 100 percent successful and suits most ladies who can't take manufactured oestrogens. The embed is placed in by a specialist under nearby soporific.
Infusions (Depo)
The preventative infusion . is a hormonal injection.this technique stops ovulation and makes the liquid at the opening to the uterus thicker, preventing sperm from traversing. The prophylactic infusion is an exceptionally compelling . .Infusion IS GIVEN AT the interim of 2 or 3 months.
Give me a data about Contraceptive intrauterine gadgets (IUDs)?
What is Emergency contraception?
Crisis contraception, otherwise called 'a next day contraceptive', is a hormonal strategy for contraception that may stop ovulation. It tends to be taken to abstain from getting pregnant in a crisis circumstance, for example, in the wake of having unprotected sex, if a condom sneaks off or breaks during sex, or if the preventative pill is missed. It forestalls 85 percent of. pregnancies that would somehow or another have occurred.
Shouldn't something be said about Contraceptive pills and vaginal rings?
Hormonal contraception for ladies is likewise accessible with a specialist's remedy as a pill (oral contraception) or a vaginal ring .. These techniques are extremely successful (99.7 percent) .Pills and vaginal rings may cause symptoms and don't give insurance from STIs.
Joined pill
Small scale pill
The small scale pill contains a manufactured type of just a single hormone, progesterone. It makes the liquid at the opening to the uterus thicker, preventing sperm from traversing.
Vaginal ring
What are the Permanent techniques for contraception?
Cleansing is a perpetual technique for contraception that includes having a surgery. Female and male sanitization are powerful, yet these strategies don't give insurance from STIs.
What are Natural strategies for contraception?
Does a Contraceptive offers insurance from STIs?
It is essential to rehearse more secure sex, just as to avoid a unintended pregnancy. Not all techniques for contraception give insurance from STIs. The most ideal approach to reduce the danger of STIs is to utilize obstructions, for example, male and female condoms .
In the event that I intend to have an infant, how not long after in the wake of halting the anti-conception medication pill would i be able to consider?
Most ladies ovulate again around about fourteen days subsequent to halting the pill. When you ovulate once more, you can get pregnant. In the event that this occurs during your first cycle off the pill, you might not have a period by any means. Check a pregnancy test on the off chance that you've had unprotected intercourse and your period hasn't returned.
What occurs on the off chance that I quit taking the conception prevention pill and my period doesn't return?
What occurs on the off chance that I take conception prevention pills while pregnant?
Would i be able to stop whenever or would it be advisable for me to complete my present pill bundle?
At the point when you at long last stop the pill, you can anticipate some dying, which may change the cadence of your menstrual cycle. In any case, you can stop whenever.
Do anti-conception medication pills cause weight gain?
How contraception pills influence malignant growth chance?
Do contraception pills influence cholesterol levels?
Contraception pills can influence your cholesterol levels. Contraception pills with more estrogen can have a marginally helpful by and large impact on your blood lipid levels. As a rule, however, the progressions aren't critical and don't influence your general wellbeing.
Do contraception pills influence circulatory strain?
Contraception pills may marginally expand your pulse. On the off chance that you take conception prevention pills, have your circulatory strain checked routinely. In the event that you as of now have hypertension, converse with your primary care physician about whether you ought to think about another type of contraception.
Can ladies more seasoned than age 35 keep taking contraception pills?
In case you're solid and you don't smoke, you can keep taking contraception pills after age 35. Nonetheless, contraception pills aren't suggested in case you're 35 or more seasoned and you smoke as a result of the danger of cardiovascular illness. All things considered, you have to stop smoking before you can securely keep utilizing anti-conception medication pills.
What is lasting disinfection?
Female cleansing (likewise alluded to as tubal ligation) incorporates various methods and procedures that give changeless contraception to ladies. The most widely recognized strategies forestall pregnancy by disturbing the patency of the fallopian tubes. This counteracts origination by blocking transport of sperm from the lower genital tract to an ovulated oocyte.IN guys it is vasectomy.,which squares vas deferens that conveys sperms.
When to plan?
Female sterilization may be performed immediately after childbirth (postpartum sterilization) or at a time unrelated to a pregnancy (interval sterilization). Most postpartum sterilization procedures are performed at time of cesarean delivery or after a vaginal delivery .Most interval sterilization procedures are performed via laparoscopy.
What are the indications?
How effective is laparoscopic sterilization in preventing pregnancy?
Laparoscopic sterilization is highly effective 100%
Why laparoscopy?
For women who no longer want children, sterilization by laparoscopy provides a safe and convenient form of contraception. Once completed, no further steps are needed to prevent pregnancy. Tubal ligation also does not change a woman's menstrual cycle or cause menopause.
How is laparoscopic sterilization performed?
In laparoscopy, an instrument called a laparoscope is inserted through a small incision made in or near the navel. Another small incision may be made for an instrument to close off or remove the fallopian tubes. The fallopian tubes can be closed off by bands or clips. They also can be cut and closed with special thread or sealed with an electric current. The laparoscope then is withdrawn. The incisions are closed with stitches or special tape.
What are the risks associated with laparoscopic sterilization?
Sterilization by laparoscopy has a low risk of complications. Its vey safe.
What should I expect after having laparoscopic sterilization?
After surgery, you will be observed for a short time to be sure that there are no problems. Most women can go home 2-4 hours after the procedure.. You may feel some discomfort or have other symptoms that last a few days
What are some alternatives to sterilization?
Long-acting reversible contraception, such as the intrauterine device or implant, last for several years. They are about as effective at preventing pregnancy as sterilization. They can be removed at any time if you want to become pregnant.
How is the Recovery from the surgery?
After surgery, patients stay in a recovery room and are observed for any possible complications. Patients are discharged same day after they receive instructions for home recovery. Patients are asked to see . for a follow-up appointment within.10 days
When to contact your doctor?
Contact immediately if you experience any of the following:
Am I ready for sterilization?
Any relation to Vaginal bleeding and menstruation?
Vaginal spottingup to .few days after surgery is normal. Many women do not have their next normal menstrual cycle for few weeks after surgery.
When to resume Sexual activity?
You can resume sexual activity one week after surgery.
What is tubal recanalisation?
"Tubal Reversal," also called "Tubal Sterilization Reversal," or "Tubal Ligation Reversal," or "Micro surgical Tubal Reaganomics," is a surgical procedure that can restore fertility to women after a tubal ligation. By rejoining the separated segments of the fallopian tube, tubal reversal can give women the chance to become pregnant again.
WHAT ARE THE CHANCES OF PREGNANCY AFTER REVERSAL?
Approximately 2 out of every 3 patients will become pregnant after tubal ligation reversal
Why only laparoscopic procedure for sterilization reversal?
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November 25, 2019 by AltiusHospital
A laparoscopic approach is superior to the trans abdominal approach in terms of surgical outcomes, cost, and postoperative morbidity.
A laparoscopic approach to cervical cerclage placement is a potentially effective adjunct to the treatment of women at high risk of recurrent preterm birth.
When To Time Procedure?
LAPAROSCOPIC cerclage placement can be performed prior to conception or in early pregnancy. Preconception placement provides optimum exposure and reduces risks of excessive bleeding and injury to the pregnancy.
Is It better than a vaginal Approach?
DEFINITELY. Time and again laparoscopy is the best method in treatment of various disease states in this modern medicine.
When the stitch has to be removed?
The cerclage remains inside till delivery. It is released during the caesarean section in the operation theater.
What Are The Risks Of Having A Cerclage Placed?
The likelihood of risks occurring is very minimal, and most health professionals feel a cerclage is a life-saving procedure that outweighs the possible risks involved.
What anesthesia is given?
its general anesthesia preferably.
What will be the recovery period?
Generally 2-3 days as with all the Laparoscopy procedures depending on your ability to recover.
Who are the candidates for laparoscopic cerclage?
Which trimester it has to be planned?
The procedure is planned at the end of the first trimester or the early second trimester, after fetal viability has been documented and initial ultrasound evaluation of the pregnancy and preliminary blood tests have ruled out any major congenital malformation.
When not to have a cerclage?
What about postoperative care?
Elective cerclage is typically an ambulatory procedure. The patient is discharged after recovery from the anesthetic and when she is able to ambulate and void.
how to follow up?
Frequent visits as informed by your doctor report immediately in case of pain or spotting or bleeding or leaking.
What is the success rate?
Cervical cerclage helps prevent miscarriage or premature labor caused by cervical incompetence. The procedure is successful in 85% to 90% of cases. Cervical cerclage appears to be effective when true cervical incompetence exists
Why Doesn't Every Woman Who Has Had A Preterm Baby Need A Cerclage?
Only women with an abnormal or "incompetent" cervix can be helped by a cerclage. However, even with the help of a cerclage, other problems can cause labor to begin too early.
What About Future Pregnancies?
Most women who need a cerclage in one pregnancy will need to have a cerclage placed in future pregnancies.
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November 25, 2019 by AltiusHospital
What is sterilization by laparoscopy?
Sterilization by laparoscopy is a common procedure used to perform tubal ligation in women. Tubal ligation is a method of sterilization that involves obstruction of the Fallopian tubes. Laparoscopy enables the surgeon to complete tubal ligation by making a small incision near the navel. This smaller incision reduces recovery time after surgery and the risk of complications. In most cases, the woman can leave the hospital within hours after laparoscopy.
WHEN TO CHOOSE STERILIZATION?
A woman should carefully weigh her decision to undergo sterilization .Though this procedure has been successfully reversed in some women, in almost all cases it causes a permanent loss of fertility.
Women who are unsure if they still want children should choose a less permanent form of contraception, such as birth control pills, an intrauterine device (IUD), or a barrier method (such as a diaphragm). Discuss these alternatives with your physician.
Your partner may also consider having a vasectomy, a method of male sterilization that involves severing and tying the vase deferens, a tube that transports sperm.
LAPAROSCOPIC STERILIZATION
sterilization by laparoscopy provides a safe and convenient form of contraception. Once completed, no further steps are needed to prevent pregnancy. Tubal ligation also does not change a woman's menstrual cycle or cause menopause.
UNDER general anesthesia ,A small incision is then made near the navel. A laparoscope, a thin viewing tube about the width of a pencil, is passed through this incision and the abdomen is inflated to make the organs easier to view.
A special device for grasping the Fallopian tubes is inserted through a second, small incision The Fallopian tubes are sealed with a band or clip that is placed over the tubes.
After surgery, patients stay in a recovery room and are observed for any possible complications. Patients are discharged generally same day, after they receive instructions for home recovery. Patients are asked for a follow-up appointment within-10 days.
Recovery-Bandage can be removed the morning after the surgery. Steri-strips, which resemble tape, can be removed 2 to 3 days after surgery.
Patients can return to normal work 1 day after surgery.
Vaginal bleeding/spotting up to 2-3 weeks after surgery is normal. Many women do not have their next normal menstrual cycle for 4 to 6 weeks after surgery. When your normal cycle returns, you may notice heavier bleeding and more discomfort than usual for the first two to three cycles.
You can resume sexual activity 3 week after surgery.
Is tubal sterilization reversal?
Reversal of the procedure is done in our center by laparoscopic tubal recanalisation.
Laparoscopic technique .- of tubal reacanalization minimizes injury to delicate tissue in and around fallopian tubes and helps to ensure clear passage within the tubes for the sperm and the ovum.
This improved surgical technique has resulted in live births in 70-80% . The overall success in terms of intrauterine pregnancy after reversal of sterilization by microsurgery is about 60-80%
Laparoscopic technique for reversal of sterilization can provide better results than conventional surgery.
Although micro surgical reversal achieved 100% potency rate in our patients, certain factors, like duration of sterilization, technique of sterilization, and the length of the tube remaining after reversal, played a crucial role in deciding the pregnancy rate. Besides the magnification and atraumatic technique, tubal length > 4cm and time interval between sterilization and reversal of < 5 years resulted in better pregnancy rate.
Although the micro surgical technique has its own limitations, its proper application has brought a ray of hope to women seeking sterilization reversal like wishing to be pregnant after death of a child,or women opting for childbirth from second marriage.
What to be considered for women with failed tubal re canalization?
Women with severe Fallopian tube disease who are not good candidates for tubal re canalization may consider IVF and embryo transfer as an alternative
Am I too old to undergo a tubal reversal?
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Fax: +91 8023116750
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November 4, 2019 by AltiusHospital
The uterus, or womb, is a muscular structure that's held in place by pelvic muscles and ligaments.
If these muscles or ligaments stretch or become weak, they're no longer able to support the uterus, causing prolapse.
Uterine prolapse occurs when the uterus sags or slips from its normal position and into the vagina, or birth canal.
Uterine prolapse may be incomplete or complete. An incomplete prolapse occurs when the uterus is only partly sagging into the vagina. A complete prolapse describes a situation in which the uterus falls so far down that some tissue rests outside of the vagina.
What is vaginal vault?
The vaginal vault is the expanded region of the vaginal canal at the internal end of the vagina. The vaginal vault may prolapse after a hysterectomy, as there is no uterus supporting the interior end of the vagina. The incidence of vaginal vault prolapse is approximately 15% after hysterectomy due to uterine prolapse, and approximately 1% after hysterectomy due to other reasons.
What is sacrocolpopexy?
Sacrocolpopexy is a procedure to correct prolapse of the vaginal vault (top of the vagina) in women who have had a previous hysterectomy. The operation is designed to restore the vagina to its normal position and function.
How is it done?
Sacrocolpopexy Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques means laparoscopy.
The specific treatment approach is chosen in accordance with the type and degree of pelvic organ prolapse, as well as the severity of symptoms.
The key aspect of sacrocolpopexy is the suspension of the vaginal apex to the sacral promontory in a manner that recreates the natural anatomic support .
What happens during surgery?
Sacrocolpopexy is performed either through an abdominal incision or 'keyholes' under general anesthesia.
The vagina is first freed from the bladder at the front and the rectum at the back.
A graft made of permanent synthetic mesh is used to cover the front and the back surfaces of the vagina. The mesh is then attached to the sacrum (tail bone). The mesh is then covered by a layer of tissue called the peritoneum that lines the abdominal cavity; this prevents the bowel from getting stuck to the mesh. Sacrocolpopexy can be performed at the same time as surgery for incontinence or vaginal repair for bladder or bowel prolapse.
What are the types of prolapse ?
What are Risk factors for pelvic organ prolapse ?
What are the Symptoms ?
What are the Concomitant symptoms ?
What is the principle used?
The key aspect of sacral colpopexy is the use of a graft to support the vaginal wall and suspend the vault to the sacral promontory ( tail bone) to give the anatomic support.
Does the surgery need anaesthesia?
Laparoscopic technique is done under general anaesthesia after thorough examination and keeping in mind all comorbidities if any.
Any advantages of laparoscopy?
laparoscopic approach has less blood loss, less hospital stay, almost similar operative time. Less handling of tissues and no adhesions thus minimizing post surgery pain, better cosmetic results, less morbidity, and shorter postoperative recovery periods.
What are the after surgery care tips?
After surgery -patient can be discharged very next day provided :
What are the Nonsurgical treatments ?
For mild variety of descent-
what about sexual life after surgery?
Sexual activity/sexual urge will not be hampered with the surgery with added benefits of correction for incontinence and mass protruding from vagina.
Will I feel weak after surgery?
surgery will not hamper your physical strength or makes you weak with joint pain as thought always and does not deteriorate daily activity .
Laparoscopic sacrocolpopexy is safe cost effective and cosmetic and patient can really consider this option after weighing risks and benefits.
What is LAPAROSCOPIC SACRO CERVICOPEXY ?
What will be the time period to go back to work ?
2-3 Days
Dietary restrictions if any?
To have a balanced diet.
Any form of exercises to be followed postop ?
Any form of physical activity say yoga,meditation,walking ,sport to keep urself fit n fine.
will there be weight gain later?
Well, Not Exactly. Surgery does not make you put on weight.might be the restriction of physical inactivity self imposed can lead to weight gain.
will there be low back ache after surgery ?
No, not because of surgery. it could be due to loss of bone mineral density which can be tackled with supplementary medicines and physical activity.
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Laparoscopic Surgery Treatment in Bangalore | Laparoscopic Gynaecologist in Bangalore | 3D Laparoscopic Surgery in Bangalore
October 23, 2019 by AltiusHospital
What is IVF?
In vitro fertilisation (IVF) literally means ‘fertilisation in glass’ giving us the familiar term ‘test tube baby’. During the IVF process, eggs are removed from the ovaries and fertilised with sperm in the laboratory. The fertilised egg (embryo) is later placed in the woman’s womb.
Is IVF for me?
A clinic may recommend IVF as your best treatment option if:
How does IVF work?
IVF techniques can differ from clinic to clinic, often depending on your individual circumstances.
A typical treatment may involve:
For Women:
Step 1: Suppressing the natural monthly hormone cycle
As a first step you may be given a drug to suppress your natural cycle. Treatment is given as a daily injection. This continues for about two weeks.
Step 2: Boosting the egg supply
After the natural cycle is suppressed you are given a fertility hormone called FSH (or Follicle Stimulating Hormone). This is usually taken as a daily injection for around 12 days. This hormone will increase the number of eggs you produce - meaning that more eggs can be fertilised. With more fertilised eggs, the clinic has a greater choice of embryos to use in your treatment.
Step 3: Checking on progress
Throughout the drug treatment, the clinic will monitor your progress. This is done by vaginal ultrasound scans and, possibly, blood tests. 34–38 hours before your eggs are due to be collected you have a hormone injection to help your eggs mature.
Step 4: Collecting the eggs
Eggs are usually collected by ultrasound guidance under sedation. This involves a needle being inserted into the scanning probe and into each ovary. The eggs are, in turn, collected through the needle. Cramping and a small amount of vaginal bleeding can occur after the procedure.
Step 5: Fertilising the eggs
Your eggs are mixed with your partner’s or the donor’s sperm and cultured in the laboratory for 16–20 hours. They are then checked to see if any have fertilised. Those that have been fertilised (now called embryos) are grown in the laboratory incubator for another one to two days before being checked again. The best one or two embryos will then be chosen for transfer. After egg collection, you are given medication to help prepare the lining of the womb for embryo transfer. This is given as pessaries, injection or gel.
Step 6: Embryo transfer
For women under the age of 40, one or two embryos can be transferred. If you are 40, or over, a maximum of three can be used. The number of embryos is restricted because of the risks associated with multiple births. Remaining embryos may be frozen for future IVF attempts, if they are suitable.
Step 7: Other treatments
Some clinics may also offer blastocyst transfer, where the fertilised eggs are left to mature for five to six days and then transferred.
Step 8: Collecting sperm
Around the time your partner’s eggs are collected, you are asked to produce a fresh sample of sperm. This is stored for a short time before the sperm are washed and spun at a high speed. This is so the healthiest and most active sperm can be selected.
Intra-cytoplasmic sperm injection (ICSI)
What is intra-cytoplasmic sperm injection and how does it work?
Intra-cytoplasmic sperm injection (ICSI) involves injecting a single sperm directly into an egg in order to fertilise it. It is a process sometimes used during in vitro fertilisation treatment (see IVF patient information leaflet).The fertilised egg (embryo) is then transferred to the woman’s womb.
ICSI is often recommended if:
How does ICSI work?
The procedure for ICSI is similar to that for IVF, but instead of fertilisation taking place in a dish, the embryologist selects sperm from the sample and a single sperm is injected directly into each egg. After two to three days in the laboratory, those that are fertilised are transferred to your womb in the same way as for conventional IVF.
The major development of ICSI means that as long as some sperm can be obtained (even in very low numbers), fertilisation is possible.
For More data Contact Us:
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Gynecologist in Bangalore | IVF Treatment Centre in Bangalore | Uterus Removal Surgery in Bangalore
October 9, 2019 by AltiusHospital
What is cervical cerclage?
Cervical cerclage, also known as a cervical stitch, is a treatment for cervical incompetence or insufficiency, when the cervix starts to shorten and open too early during a pregnancy causing either a late miscarriage or preterm birth.
When is it done?
Usually the treatment is done in the second trimester (12-14 weeks) of pregnancy, for a woman who had either one or more late miscarriages in the past. It can be planned prior to pregnancy when it is done abdominally and laparoscopically.
Who needs a cervical circlage?
A doctor might recommend a cerclage be performed if a woman has one or more of the following risk factors:
In women with a prior spontaneous preterm birth and who are pregnant with one baby, and have shortening of the cervical length less than 25 mm, a cerclage prevents a preterm birth and reduces death and illness in the baby.
What are various methods of it?
Types: There are three types of cerclage
Mc Donald’s circlage is essentially a pursestring stitch used to cinch the cervix shut; the cervix stitching involves a band of suture at the upper part of the cervix while the lower part has already started to efface. This cerclage is usually placed between 16 weeks and 18 weeks of pregnancy. The stitch is generally removed around the 37th week of gestation
A Shirodkar cerclage is very similar, but the sutures pass through the walls of the cervix so they're not exposed. The Shirodkar procedure sometimes involves a permanent stitch around the cervix which will not be removed and therefore a Caesarean section will be necessary to delivera an abdominal cerclage, the least common type, is permanent and involves placing a band at the very top and outside of the cervix, inside the abdomen. This is usually only done if the cervix is too short to attempt a standard cerclage, or if a vaginal cerclage has failed or is not possible. A c-section is required for women giving birth with a TAC. A transabdominal cerclage can also be placed pre-pregnancy if a patient has been diagnosed with an incompetent cervix.
What are the preparations made before cerclage?
Before the procedure may be performed, there are a number of preparatory steps that must be taken. A complete medical history will be taken. A cervical exam will be necessary to assess the state of the cervix; usually a transvaginal (through the vagina) ultrasound will be performed. No food or drink will be allowed after midnight before the day of surgery to avoid nausea and vomiting during and after the procedure. The patient will also be instructed to avoid sexual intercourse, tampons, and douches for 24 hours before the procedure. Before the procedure is performed, an intravenous (IV) catheter will be placed in order to administrate fluids and medications.
Lap circlage- how is it done?
The procedure is performed under anesthesia through a laparoscopic ports. The peritoneum overlying the bladder and uterus is divided, and the bladder is pushed caudally. The uterine vessels are identified and displaced laterally, and a suture is then placed around the cervix at the levelof the internal os. The suture is tied posteriorly; this is to allow removal of the suture by posterior colpotomy if necessary. Some surgeons tie the suture anteriorly. The uterine vessels have to be dissected from the cervix to allow insertion of the suture medially. The technique is more demanding than that by the vaginal approach, and might lead to excessive bleeding from the uterine vessels. Transillumination of the uterine vessels and their branches with a laparoscope, and placing the suture through the avascular area of the paracervical tissue medial to the vessels, have been proposed. Most cases of abdominal cerclage have been performed during pregnancy, usually after 10 weeks of gestation. Abdominal cerclage by laparotomy and by laparoscopy have been performed in the pregnant and non-pregnant states. Compaired to open method Lap has faster recovery.
What is aftercare for circlage?
After Care INSTRUCTIONS:
Medicines:
CONTACT A CAREGIVER IF:
SEEK CARE IMMEDIATELY IF:
What are the results of circlage?
The success rate for cervical cerclage is approximately 80-90% for elective cerclages, and 40-60% for emergency cerclages. A cerclage is considered successful if labor and delivery is delayed to at least 37 weeks.
What is Rescue cerclage?
In cases with advanced cervical dilatation and bulging membranes, it has been referred to as (heroic cerclage) or rescue cerclage due to its poor success rate Cervical cerclage in advanced cervical dilatation with bulging membranes in the second trimester is controversial. The outcome of these pregnancies is usually poor, but without a cerclage the loss of pregnancy is inevitable. The outcome can be improved if initially a uterine contraction suppressant is used and vaginal infection can be treated. These patients need a lot of counseling and be made aware of the risk of losing the pregnancy. Prolonging pregnancy to reach just viable gestations may also increase overall morbidity. It has been suggested that infection is likely to play a part in many cases of miscarriage in the second trimester and therefore screening for infection before insertion of the suture may predict prognosis. However, in women with bulging membranes, delay in the insertion of the suture is likely to increase the risk of infection, due to the increased exposure of the fetal membranes to vaginal bacteria Reported survival rates following emergency cerclage vary from 12.5% to 63% in women with cervical dilatation of >3cm.
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September 25, 2019 by AltiusHospital
Altius Hospital is one of the India’s best leading centres with Gynaec Laparoscopic surgery, Infertility & Urogynaecology treatments. It is a 50 Bedded Hospital with High Tech State of the art speciality centre. Our Hospital is renowned as the Third Operation Theatre in the country and to have OR1 system first in Karnataka.
Vaginal discharge is most often a normal and regular occurrence. However, there are certain types of discharge that can indicate an infection. Abnormal discharge may be yellow or green, chunky in consistency, or have a foul odor.
Vaginal discharge serves an important housekeeping function in the female reproductive system. Fluid made by glands inside the vagina and cervix carries away dead cells and bacteria. This keeps the vagina clean and helps prevent infection.
What is Normal?
Women develop PID when certain bacteria, such as chlamydia or gonorrhea, move upward from a woman's vagina or cervix into her reproductive organs. PID is a serious complication of some sexually transmitted diseases (STDs), especially chlamydia and gonorrhea.
Most of the time, vaginal discharge is perfectly normal. The amount can vary, as can odor and hue (its color can range from clear to a milky whitish), depending on the time in your menstrual cycle.
For example, there will be more discharge if you are ovulating, breastfeeding, or are sexually aroused. The smell may be different if you are pregnant or you haven't been diligent about your personal hygiene.
When is It Abnormal
if the color, smell, or consistency seems significantly unusual, especially if it accompanied by vaginal itching or burning, you could be noticing an infection or other condition.
What should I do if I have abnormal vaginal discharge?
Vaginal discharge is perfectly normal but if your discharge looks unusual and you experience other symptoms such as itching and swelling of the vagina, fever, fatigue, pain in the abdomen, unexplained weight loss, or increased urination, you should consult your doctor.
What does a lot of vaginal discharge mean?
Some of the surgeries performed here are:
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September 23, 2019 by AltiusHospital
If you have been diagnosed with polycystic ovary syndrome (PCOS),you are probably no stranger to fertility problems. You may have tried to lose weight or take different fertility drugs to help you conceive. But if these PCOS fertility treatments did not work for you, you may wonder if there is another option. Ovarian drilling could be your answer.
Ovarian drilling for PCOS treatment:
Polycystic ovary syndrome can cause your body to produce too much testosterone and insulin, leading to fertility problems. High testosterone levels can cause irregular menstrual cycles, prevent ovulation and hinder pregnancy. PCOS treatments, including ovarian drilling, could help you conceive by regulating your hormone levels and improving your ovulation and menstrual cycles. Laproscopic ovarian drilling may also increase ovarian blood flow, allowing a high delivery of gonadotrophins and post-surgical local growth factors. There is also an improvement of insulin sensitivity after ovarian drilling which helps in ovulation.
Laparoscopic ovarian drilling may improve the effectiveness of other ovulation induction treatments. The oral drug, clomiphene citrate , is the first-line treatment for PCOS, yet, one fifth of women are resistant to the drug and fail to ovulate. In such cases, laproscopic ovarian dirlling may prove to be an effective alternative.
How does ovarian drilling work?
It may sound scary, but “ovarian drilling” is relatively simple and minimally invasive. Ovarian drilling is a laparoscopic procedure performed under general anesthesia. The surgery is typically done on an outpatient basis with minimal recovery time. Here is how ovarian drilling works:
Will ovarian drilling work for me?
If your periods become regular after ovarian drilling, your chances of pregnancy are good. About half of all women that go through with ovarian drilling become pregnant within one year. Even if your cycles do not become more regular after ovarian drilling, you may have better success in getting pregnant with the help of fertility drugs.
Advantages of Laproscopic
Ovarian Drilling:
Ovarian drilling has lower rates of ovarian hyperstimulation syndrome and of multi-fetal gestation. The advantages of the procedure also include its singular treatment, as opposed to several trials of ovulation inductions. Other benefits of this technique include cost-effectiveness and that it can be performed as an outpatient procedure.
Talk with your doctor to determine if you are a good candidate for ovarian drilling. By regulating your cycles for several months or more, ovarian drilling may offer you a window of opportunity to become pregnant that you did not have before.
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Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore
